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$90 Registration
$110 Late Registration (Begins February 21, 2015)
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Automatically Save $5 Per Player For Registering Your Entire Team.
Save $10 per player if you are providing your own uniforms.
To sign-up your team, please fill out this form completely. You can register up to 14 players.
= Required Fields.
 REGION 

 TEAM INFORMATION 
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 PLAYER INFORMATION 
 PLAYER INFORMATION 
 PLAYER INFORMATION 
 PLAYER INFORMATION 
I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYS, its affiliated organization and sponsors and have read the Players Affiliation Agreement. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYS release, discharge and/or otherwise indemnify the USYS, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the programs and/or being transported to or from the same, which transportation I here by authorize.


Digital Signature of Coach



Consent for medical treatment (minor)
As the parent or legal guardian of the above-named player, I herby give my consent for emergency medical car prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to prevent the life, limb or well being of my dependent.






Digital Signature of Coach:


 PROMO CODE - [Optional] 
 PAYMENT INFORMATION 
Below is your total registration amount and any discounts that apply.
Click "SUBMIT & CONFIRM" to continue.
Players: 4
Cost Per Player: $105
Sub Total: $420
Total Charge Amount: $420
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